13646 Chapters
Medium 9780946439973

8. ‘I’m Bad, No Good, Can’t Think’

Mary Boston and Rolene Szur, Editors Karnac Books ePub

The statement which provides a title for this chapter was made by a child in care. I am going to describe some work with him which I think illustrates the first steps in the long struggle to come to terms with pain and loss - a task which faces all the children referred to in this book. Central to this struggle seems to be the transformation of pain from something which has the character of an overwhelming physical attack into something which can be carried in the mind as experience.

Ian Haines was 9 years old and had been in the care of the local authority for five years when he began once-weekly psychotherapy. He was an attractive boy with a thatch of fair hair but his face had something tense, sharp and hard about it. The difficulties of his life so far seemed to have left their mark.

When Ian was eighteen months he and his mother had left his father to live with another man, a Mr Haynes (spelt with a fyf)-After a few years this new family, including a baby sister, Tracey,, broke up and the children were taken into care. Ian has remained in the same children’s home for most of the time and was not considered suitable for fostering or adoption whereas Tracey is now settled with a family. * Erratic visits from his parents, who are involved in drug addiction and petty crime, are a source of additional pain and confusion, and his contact with Tracey is occasional and not close.

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Medium 9781855754911

CHAPTER ELEVEN: Continuing Professional Development: Fit for Practice

Hooper, Douglas; Weitz, Philippa Karnac Books ePub

Maureen Moore

THE aim of this chapter is to explore the issues relating to the maintenance of the quality of counselling provision through the endeavours of the individual counsellor. It is hoped that this will contribute to counsellors’ understanding of the impact that they have on their own clinical practice, the outcome of their clinical work and the overall reputation of counselling as a respected profession.

In recent years continuing professional development (CPD) has become increasingly more important and relevant to all professionals. The demand for higher standards in the delivery of counselling and psychological therapies has become progressively greater, as indicated by the number of extended training courses and degree level qualifications. This emphasis on CPD became increasingly prominent in the 1990s as professional associations required members to adhere to a policy of maintaining currency through CPD. What was once voluntary and recognised as ‘good practice’ has become a requirement for continuing professional practice. For example, during 2000 the British Psychological Society (BPS) voted to make CPD mandatory.

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Chapter Four - The Place of Fear in Attachment Theory and Psychoanalysis: The Fifteenth John Bowlby Memorial Lecture

Karnac Books ePub

Arietta Slade


Today I will be talking about fear and its place in attachment theory and psychoanalysis. In the hierarchy of human motivations, Bowlby placed particular emphasis on attachment because it is essential to our physical and psychological survival. And he privileged fear of loss and danger because these elemental reactions drive and organise the activation and deactivation of the attachment system, regulate physical and psychological proximity seeking and contact maintenance, and shape the organisation of mental life.

At the time that Bowlby began formulating his theory of human attachment, psychoanalysis placed virtually no emphasis on the role of fear and the search for safety in the development of personality and psychopathology. This had much to do, of course, with Freud's particular interest in internal reality, and his relative lack of interest in relationships. Bowlby, by contrast, was greatly interested in actual experience, and believed that attending to the dynamics of fear and its regulation within the context of actual attachment relationships would fundamentally change psychoanalysis (1969, 1973, 1980, 1988). For Bowlby, an emphasis on fear and the search for safety offered a crucial corrective to the theories of motivation, development, and psychopathology that prevailed in psychoanalysis at the time. For many years, however, this corrective fell on deaf ears within the analytic community, which actively rejected Bowlby and his ideas for several decades.

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Medium 9781780491547

Appendix : Telemental Health Resources

Karnac Books ePub


Telemental health resources

Angela Carter Martin, DNP, APRN

These online resources are offered for you to check out as you explore the pros and cons of teletherapy. In providing this list, the authors and editor of this book do not express an opinion about the value of any of these sites.

General information on ethics, legal, and practice issues associated with the use of telemental health



Offers CE, HIPAA compliance package. This website also offers plenty of detail for therapists seeking information about a variety of telemental health issues.

http://www.mdcbh.org/images/startupmemo10272010.pdf http://www.tmhguide.org/site/epage/93990_871.htm

Telemental Health Guide (organisation).



The Office for Advancement of Telehealth.



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Medium 9781855758049


Dalmau, Tim; Neville, Bernie Karnac Books ePub

Hestia, you who tend the sacred dwelling
of the far-shooting lord, Apollon, at holy Pytho,
from your tresses flowing oil ever drips down.
Come to this house! Come in gentle spirit
with resourceful Zeus and grant grace to my song.1

When the ancestors of the Greeks were driving their cattle across the northern plains, there was a woman in each clan who had the task of carrying the fire. At each stopping place she would use her carefully preserved heap of hot coals to light a fire that the clan could gather round in the darkness, for cooking and for security. Because of the single-mindedness necessary for such a task, she was an unmarried woman or a widow, who received the status appropriate to this responsibility. Since the gods were assumed to have the same social organization as mortals, the Indo-Europeans worshiped a fire-goddess who performed the same function for the Thunder-god and his family. When the Greeks eventually decided on the constitution of the Olympian pantheon, this goddess emerged as Hestia, elder sister of Zeus and goddess of home-making and the hearth.

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